Shane Johnson, MD in Indianapolis, IN - Medicare Anesthesiology

Shane Johnson, MD is a medicare enrolled "Anesthesiology" physician in Indianapolis, Indiana. His current practice location is 2001 W 86th St, Indianapolis, Indiana. You can reach out to his office (for appointments etc.) via phone at (317) 338-2345.

Shane Johnson is licensed to practice in Indiana (license number 01092392A) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1356803431.

Contact Information

	Shane Johnson, MD
	2001 W 86th St, Indianapolis, IN 46260-1902
	(317) 338-2345
	(317) 338-6359

Map and Direction

Physician's Profile

Full Name	Shane Johnson
Gender	Male
Speciality	Anesthesiology
Location	2001 W 86th St, Indianapolis, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1356803431
Provider Enumeration Date: 04/05/2019
Last Update Date: 04/11/2024

Medicare PECOS Information:

PECOS PAC ID: 6507191293
Enrollment ID: I20240511000383

Medical Identifiers

Medical identifiers for Shane Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1356803431	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207L00000X	Anesthesiology	01092392A (Indiana)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Shane Johnson allows following entities to bill medicare on his behalf.

Entity Name	St Vincent Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1144513375 PECOS PAC ID: 7012047640 Enrollment ID: O20100609000045

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shane Johnson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Shane Johnson, MD 2001 W 86th St, Indianapolis, IN 46260-1902 Ph: () -	Shane Johnson, MD 2001 W 86th St, Indianapolis, IN 46260-1902 Ph: (317) 338-2345

Reviews and Comments

Anesthesiology Doctors in Indianapolis, IN

Thomas M Donahue, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1701 N Senate Blvd, Indianapolis, IN 46202 Phone: 317-577-4200 Fax: 317-577-9503
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Karen L. Bumb, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1701 Senate Blvd, Indianapolis, IN 46202 Phone: 317-567-2180 Fax: 317-567-2191
Christian N Beaton, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1701 N Senate Ave, Indianapolis, IN 46202 Phone: 317-567-2179 Fax: 317-567-2191
Erin S Murphy, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1701 N Senate Ave, Indianapolis, IN 46202 Phone: 317-567-2179 Fax: 317-567-2191
Jane Gunsenhouser, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 2001 W 86th St, Indianapolis, IN 46260 Phone: 317-567-2180 Fax: 317-567-2191

Shane Johnson, MD - Medicare Anesthesiology in Indianapolis, IN